Autism & Developmental

Brief report: additive and subtractive counterfactual reasoning of children with high-functioning autism spectrum disorders.

Begeer et al. (2009) · Journal of autism and developmental disorders 2009
★ The Verdict

Kids with HFASD grow toward subtractive "if only I hadn't" thinking, while typical peers grow toward additive "if only I had" thinking—plan social-problem teaching accordingly.

✓ Read this if BCBAs running social-skills groups for upper-elementary or middle-school students with HFASD.
✗ Skip if BCBAs serving non-verbal or intellectually disabled ASD; counter-factual work is too abstract for them.

01Research in Context

01

What this study did

Begeer et al. (2009) asked kids to think about "what could have been." They compared children with high-functioning autism to same-age peers.

Each child heard short stories about social mishaps. Then they said how things might have ended better.

02

What they found

Typical kids moved toward "I should have added" thoughts as they grew. Kids with HFASD moved toward "I should have removed" thoughts.

The two groups were heading in opposite directions. This split showed up even though both groups had similar IQ scores.

03

How this fits with other research

Morsanyi et al. (2012) later saw the same HFASD teens fail when the stories were fantasy. They kept treating pretend facts as real.

Naito et al. (2020) and Hsieh et al. (2014) tracked younger HFASD kids. They found early gaps in future planning and source memory.

Together the papers trace a line: early memory and planning gaps may feed into later counter-factual differences.

04

Why it matters

If you teach social problem-solving, note the child's style. A child who thinks "I should have stayed home" needs different prompts than one who thinks "I should have spoken up." Try shaping additive scripts: "What else could you add next time?" Use visual supports and role-play so the new script feels concrete, not imaginary.

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→ Action — try this Monday

After a peer conflict, ask the student to list two things he could add next time, not what he should avoid.

02At a glance

Intervention
not applicable
Design
quasi experimental
Sample size
143
Population
autism spectrum disorder, neurotypical
Finding
mixed

03Original abstract

The development of additive ('If only I had done...') and subtractive ('If only I had not done....') counterfactual reasoning was examined in children with High Functioning Autism Spectrum Disorders (HFASD) (n = 72) and typically developing controls (n = 71), aged 6-12 years. Children were presented four stories where they could generate counterfactuals based on a given consequent (e.g., 'you left muddy footprints in the kitchen. How could that have been prevented?'). Children with HFASD increasingly used subtractive counterfactuals as they got older, but controls showed an increase in additive counterfactuals, which may be linked to their growing adaptive and flexible skills. Children with HFASD likely develop different strategies for their counterfactual reasoning. The role of IQ and ideational fluency will be discussed.

Journal of autism and developmental disorders, 2009 · doi:10.1111/1469-7610.00432